DAVID PETERSEN LCSW
NPI 1497845788
Social Worker - Clinical in Greenwood Village, CO

Q: What is David Petersen's NPI number?

The NPI number for David Petersen is 1497845788. It was assigned to this individual provider in the NPPES registry on October 15, 2006.

Q: What is David Petersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for David Petersen was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2006PECOS EnrolledAccepts Medicare Assignment

6200 S SYRACUSE WAY STE 260, GREENWOOD VILLAGE, CO 80111(719) 332-6767 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About David Petersen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID PETERSEN LCSW (NPI 1497845788) is an individual clinical provider in Greenwood Village, Colorado, licensed in Colorado (255) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1497845788

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDAVID PETERSENCredential: LCSW

Location Address6200 S SYRACUSE WAY STE 260Greenwood Village, CO 80111-4739

Mailing Address415 N Tejon StColorado Springs, CO 80903-1101 · (719) 332-6767

Phone(719) 332-6767

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateOctober 15, 2006

Last NPPES UpdateJanuary 26, 2023

NPPES CertifiedJanuary 26, 2023

✔ NPI 1497845788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CO · 255

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 81 (CO)

6200 S SYRACUSE WAY STE 260, Greenwood Village, CO 80111

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Secondary Practice Location 1

Location 1415 N Tejon StColorado Springs, CO 80903-1101 · Phone (719) 440-0025

Other Identifiers 1

Medicaid099366CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Petersen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668441320

PECOS Enrollment IDI20040929000503, I20220512001060

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.06 – $174.82

Typical copayment $0.00 (range $14.51 – $43.70)

Most-billed visit code NA

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLIE R MOBLEY LCSW

Social Worker (Clinical)